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慢性阻塞性肺病相关死亡率 - 中国,2014-2021年

Zifang Zhou¹, Lijun Wang¹, Maigeng Zhou¹

¹National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

China CDC weekly

|November 7, 2024

概括

在中国,慢性阻塞性肺病 (COPD) 死亡率从2014年到2021年显著下降. 然而,COPD的负担在欠发达地区仍然很高,突出了医疗保健获取和结果的差异.

科学领域:

公共卫生公共卫生
流行病学流行病学
呼吸系统医学呼吸系统医学

背景情况:

中国面临着严重且不断增加的慢性阻塞性肺病 (COPD) 负担.
传统的死亡率估计往往忽视了COPD作为伴随性疾病的作用.
本研究提供了 COPD 相关死亡率的综合分析,使用详细的死亡证明信息.

研究的目的:

从2014年到2021年,估计中国的COPD相关死亡率.
通过人口和地理因素分层分析COPD死亡率的趋势.
确定导致COPD相关死亡的主要并发症.

主要方法:

对2014-2021年国家死亡率监测系统 (NMSS) 数据的回顾性分析.
根据性别,地区和居住地计算年龄标准化死亡率 (ASMR).
结点回归的应用,以确定死亡率的年平均百分比变化 (AAPC).

主要成果:

在2014年至2021年期间,中国的COPD相关的ASMR显著下降,从每10万人口中的91.85人减少到每10万人口中的45.90人.
死亡率在性别,地区 (东部,中部,西部) 和住宅区 (城市,农村) 中不均地下降.
心血管疾病和其他呼吸系统疾病被确定为COPD相关死亡的主要并发症.

结论:

慢性肺炎是一种关键的并发症,在中国对死亡率作出了重大贡献.
尽管COPD相关死亡率的总体大幅下降,但疾病负担仍然存在,特别是在较不发达的地区.
解决地区差异对于减轻中国COPD的影响至关重要.

关键词:

慢性阻塞性肺病慢性阻塞性肺病伴随性疾病伴随性疾病死亡率死亡率死亡率

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